Media – Non-Profit Publication or News Site

2019 Non-Profit Publication or News Site CPA Membership Application

Non-Profit Publication or News Site Form

This membership requires CPA Board approval. You will not receive access to member benefits
including system access until your membership has been approved.

Cost of Non-Profit Publication or News Site Membership: $500 annually. Membership period is January to December of each year.

Your membership is conditional upon Board approval. Once Board approval has been received, we will send you an invoice for payment. You will be able to pay via check or credit card.

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Last
Mailing Address *
Mailing Address
City
State/Province
Zip/Postal
Invoice Address
Invoice Address
City
State/Province
Zip/Postal
Eight characters minimum One lowercase letter One uppercase letter One number One special character
Include e-edition. Total number should either come from statement of ownership, a verified audit, or a press run report.
Average monthly unique visitors per month from previous year.
Number of columns X page depth; example 5 columns x 14 inches
Upload your rate card (if you have one)
Maximum upload size: 134.22MB
Upload readership verification
Maximum upload size: 134.22MB
For legal publications, provide an annual Statement of Ownership (Postal Form 3526); non-legal pubs should provide print run report.
UploadTax-Exempt Certificate
Maximum upload size: 134.22MB
Is your organization owned by a group or business?
Address of group ownership
Address of group ownership
City
State/Province
Zip/Postal

Staff Information

Please fill in information for all applicable positions. If you're a publisher who fills in for multiple positions, please just use check mark option to let us know.
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Last
What additional role(s) does the publisher fill (if any)?
First
Last
First
Last
First
Last
First
Last
Please list staff members with their email addresses that you would like to be included on the CPA's e-Editor mailing list.

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